Provider Demographics
NPI:1003574203
Name:NORTH COUNTY CARDIOVASCULAR SPECIALISTS, APMC
Entity Type:Organization
Organization Name:NORTH COUNTY CARDIOVASCULAR SPECIALISTS, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAMANICKAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-297-4634
Mailing Address - Street 1:3907 WARING RD STE 3
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4454
Mailing Address - Country:US
Mailing Address - Phone:760-224-7766
Mailing Address - Fax:760-450-9655
Practice Address - Street 1:3907 WARING RD STE 3
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4454
Practice Address - Country:US
Practice Address - Phone:917-297-4634
Practice Address - Fax:760-450-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty